MIR LAND EUGENE MA, MS
NPI 1417991555
Counselor in Opa Locka, FL

Q: What is Mir Land Eugene's NPI number?

The NPI number for Mir Land Eugene is 1417991555. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Q: What is Mir Land Eugene's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Mir Land Eugene was last updated on March 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 16, 2006

4469 NW 167TH ST, OPA LOCKA, FL 33055(305) 621-1455(305) 621-5508 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mir Land Eugene Ma, Ms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIR LAND EUGENE MA, MS (NPI 1417991555) is an individual counselor in Opa Locka, Florida and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1417991555

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameMIR LAND EUGENECredential: MA, MS

Location Address4469 NW 167TH STOpa Locka, FL 33055-4311

Mailing Address11031 Ne 6th AveMiami, FL 33161-7182 · (305) 398-6100 · Fax (305) 757-4465

Phone(305) 621-1455

Fax(305) 621-5508

Sole ProprietorYes

Enumeration DateJune 16, 2006

Last NPPES UpdateMarch 25, 2024

NPPES CertifiedMarch 25, 2024

✔ NPI 1417991555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

4469 NW 167TH ST, Opa Locka, FL 33055

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Other Identifiers 1

Medicaid764792100FL

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REGINALD THOMPSON BS

Counselor